This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Johnson, C. A. Articles by Goff, J. M. Search for Related Content PubMed PubMed Citation Articles by Johnson, C. A. Articles by Goff, J. M., Jr Social Bookmarking                         What's this?

Mesenteric evnous Thrombosis in a Patient with Prothrombin 20210A Mutation and Anttthrombin III Deficiency: Challenges to Conventional Anticoagulation

A Case Report

Mary V. Parker, MD

Vascular Surgery Department, Walter Reed Army Medical Center, Washington, DC

James M. Goff, Jr, MD, FACS

Vascular Surgery Department, Walter Reed Army Medical Center, Washington, DC; Peripheral Vascular Surgery Service, 6900 Georgia Avenue, Bldg. 2, Washington, DC 20307-5001; james.goff{at}na.amedd.army.mil

Mesenteric venous thrombosis presents as vague abdominal pain in patients with a medical or family history suggestive of a hypercoagulable state. Classic computed tomography findings will often confirm the diagnosis, and the presence of persistent abdominal pain or tenderness will determine the need for surgical intervention. Expeditious anticoagulation is the treatment of choice. This case demonstrates the CT findings for mesenteric venous thrombosis and discusses the challenges of anticoagulation in a patient with 2 hypercoagulable disorders.

Vascular and Endovascular Surgery, Vol. 37, No. 4, 293-296 (2003)
DOI: 10.1177/153857440303700410


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?